Diabetes prevention program

Diabetes prevention program

Medicare Part B (Medical Insurance)

 covers a diabetes prevention program once if all of these conditions apply to you: 

  • You have a hemoglobin A1c test result between 5.7 and 6.4%, a fasting plasma glucose of 110-125mg/dL, or a 2-hour plasma glucose of 140-199 mg/dL (oral glucose tolerant test) within 12 months before attending the first core session.
  • You have a body mass index (BMI) of 25 or more (BMI of 23 or more if you’re Asian).
  • You've never been diagnosed with type 1 or type 2 diabetes or End-Stage Renal Disease (ESRD) .
  • You've never participated in the Medicare Diabetes Prevention Program.
Your costs in Original Medicare

You pay nothing for these services.

What it is

Medicare’s Diabetes Prevention Program is a proven health behavior change program to help you prevent type 2 diabetes.

The program begins with 16 core sessions offered in a group setting over a 6-month period. In these sessions, you’ll get:

  • Training to make realistic, lasting behavior changes
  • Tips on how to get more exercise
  • Strategies for controlling your weight
  • A behavior coach, specially trained to help keep you motivated
  • Support from people with similar goals

Once you complete the core sessions, you’ll get:

  • 6 more months of less intensive monthly follow-up sessions to help you maintain healthy habits
  • An additional 12 months of ongoing maintenance sessions if you meet certain weight loss and attendance goals
Things to know

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